Healthcare Provider Details

I. General information

NPI: 1154234698
Provider Name (Legal Business Name): MILEYSHKA PIZARRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 966 K 0.3 EL VERDE
RIO GRANDE PR
00745
US

IV. Provider business mailing address

HC 5 BOX 8507
RIO GRANDE PR
00745-9317
US

V. Phone/Fax

Practice location:
  • Phone: 787-203-2294
  • Fax:
Mailing address:
  • Phone: 787-203-2294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number8505
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: